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目的 :分析比较传统术式与宫腔镜下切除术式治疗“较大宫颈管息肉”的疗效。方法 :选择2011年9月至2013年9月我院诊治的宫颈息肉患者90例,依据患者知情同意原则随机分为两组,每组45例。观察组有效43例,有效率为95.56%,对照组有效42例,有效率为93.33%,两组患者有效率比较差异无统计学意义(P>0.05);术中出血量观察组平均5ml,对照组平均12ml,(P<0.05);观察组并发症2例,并发症发生率为4.4%,对照组并发症9例,并发症发生率为20%,两组患者并发症发生率比较差异有统计学意义(P<0.05),观察组复发3例,复发率为6.67%,对照组复发8例,复发率为17.78%,两组患者复发率比较差异有统计学意义(P<0.05)。结论 :宫腔镜治疗较大宫颈息肉的优势明显,宫腔镜可以作为较大宫颈息肉治疗的首选方法。
Objective: To compare and analyze the curative effect of traditional surgery and hysteroscopic resection for the treatment of “larger cervical polyps”. Methods: 90 patients with cervical polyp diagnosed and treated in our hospital from September 2011 to September 2013 were randomly divided into two groups (45 in each group) according to the principle of informed consent. The effective rate was 95.56% in the observation group and 42 in the control group, with an effective rate of 93.33%. There was no significant difference in the effective rate between the two groups (P> 0.05) Control group average 12ml, (P <0.05); 2 cases of complications in the observation group, the incidence of complications was 4.4%, 9 cases of complications in the control group, the incidence of complications was 20%, the incidence of complications in both groups were significantly different (P <0.05). The recurrence rate was 6.67% in the observation group and 8 cases in the control group, the recurrence rate was 17.78%. There was significant difference in recurrence rate between the two groups (P <0.05) . Conclusion: Hysteroscopic treatment of larger cervical polyp obvious advantages, hysteroscopy can be used as the preferred method of treatment of cervical polyp.